Individual provider Active NPI

Roshni Ahuja, BDS, MDS

  • Dentist
  • Yakima, WA
National Provider Identifier
1255064028
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61270908 Issued in WA
Practice address
1120 S 18TH St
Yakima, WA 98901-3654
Phone
(509) 573-5530
NPI assigned
Jul 7, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE61270908 WA
Dentist 122300000X DE61270908 WA Primary

Addresses

Primary practice location

1120 S 18TH St
Yakima, WA 98901-3654

Mailing address

1120 S 18TH St
Yakima, WA 98901-3654
Phone (509) 573-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rahuja33787@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201002841 WA Order and Referring Only - DentistPractitioner - Dentist 3577931138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rahuja33787@yvfwc.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1255064028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 18TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013654",
            "telephone_number": "509-573-5530",
            "fax_number": "509-654-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 18TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013654",
            "telephone_number": "509-573-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "ROSHNI",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61270908",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61270908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rahuja33787@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1120 S 18th St",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989013654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.